| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,117 |
1,115 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,268 |
1,194 |
$19K |
| 92015 |
Determination of refractive state |
1,715 |
1,709 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
260 |
259 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$880.20 |